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RecruitingNCT07220226Updated Jul 30, 2026

Venous Compression in Fontan

An interventional study of Lower extremity compression garments and Without compression garments in Single-ventricle and Fontan Circulation, sponsored by University of Texas Southwestern Medical Center. Recruiting at 1 site in United States. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-30.

Sponsored by University of Texas Southwestern Medical Center · Not applicable, Interventional, and Other

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The aim of this study is to investigate whether venous compression garments increase exercise stroke volume in patients with Fontan circulation. To address this aim, we will test the following hypotheses:

  1. Acute and chronic external venous compression will increase exercise stroke volume in patients with Fontan circulation.
  2. Patients with significant venous varicosities will have a greater response to venous compression.

Participants will:

  • Undergo submaximal exercise testing in MRI to measure venous return and exercise stroke volume with and without the wearing of compression garments
  • Undergo submaximal exercise testing on a seated upright exercise ergometer with concurrent measurement of stroke volume with and without the wearing of compression garments
  • A subset of participants will repeat both testing visits after wearing compression garments for 2-weeks during waking hours.

Participants will:

  • Undergo submaximal exercise testing in MRI to measure venous return and exercise stroke volume with and without the wearing of compression garments
  • Undergo submaximal exercise testing on a seated upright exercise ergometer with concurrent measurement of stroke volume with and without the wearing of compression garments
  • A subset of participants will repeat both testing visits after wearing compression garments for 2-weeks during waking hours.
Read the detailed description

Study Day 1 - Consent, Screening and Garment Measurements:

Following assessment of participant eligibility, all participants will undergo leg venous ultrasound assessment and abdominal-foot measurements for the custom making of compression garments.

Study Day 2 - MRI:

Study participants will undergo comprehensive cardiovascular MRI using a 3T MRI scanner with and without compression garments and exercise.

Study Day 3 - Cardiovascular \& Exercise Testing Day:

All participants will undergo comprehensive cardiovascular structure and function assessments at rest and during exercise with and without the wearing of compression garments. Baseline testing will include dual x-ray absorptiometry (DEXA), pulmonary function testing, comprensive vascular assessments and echocardiography. During exercise at two submaximal workloads, the study team will measure blood pressure, oxygen uptake and cardiac output.

02

Conditions studied

  • Single-ventricle
  • Fontan Circulation

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Keywords

  • Venous Compression
  • Exercise Testing
  • Cardiac Reserve
  • Fontan Circulation
  • Magnetic Resonance Imaging
  • vascular function
03

In context

Univentricular Heart

86 studies on the registry are indexed under Univentricular Heart; 22 are open to participants now.

This study's planned enrollment of 20 is below the median of 28 across 44 interventional studies indexed under Univentricular Heart.

Browse Univentricular Heart studies →

Lead sponsor

University of Texas Southwestern Medical Center is the lead sponsor of 1,010 studies on the registry; 199 are open to participants now.

Of its 139 completed or terminated interventional studies of FDA-regulated products, 105 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Patients with a Fontan circulation -

Inclusion criteria

Inclusion criteria:

  • Patients at UTSW aged 18-45 years old with a Fontan circulation.

Exclusion criteria

Exclusion Criteria:

  • Class 4
  • Severe AV valve regurgitation
  • Severe ventricular dysfunction
  • Large ascites
  • Significant varicosities
  • Atrio-pulmonary (AP) Fontan
  • Known Fontan thrombus
  • Poorly controlled arrythmia
  • Unplanned cardiac admission in the last 6 months
  • Cyanosis (resting O2 saturation \<85%)
  • Pregnant
  • Common femoral vein obstruction >50% to be performed following completion of .

Healthy Controls:

Healthy control participants will be recruited on the basis of having no known chronic diseases and not currently taking any cardiovascular medications.

Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Fontan circulation Arm

    Fontan circulation participants will undergo Rest +Submax exercise with and without wearing venous compression garments. A subset of patients with Fontan circulation will undergo repeat testing 2-weeks later.

    Device: Lower extremity compression garments · Other: Without compression garments

  • Experimental
    Healthy controls

    Healthy group participants will undergo Rest +Submax exercise with and without wearing venous compression garments.

    Device: Lower extremity compression garments · Other: Without compression garments

Interventions

  • DeviceLower extremity compression garments

    Acute and 2-week effects of compression garments

  • OtherWithout compression garments

    Acute effects without compression garments

06

What researchers measure

Primary outcomes

  1. Change in Stroke Volume with Exercise

    The change in single ventricular stroke volume from rest to moderate intensity exercise with compression garments during baseline testing

    Time frame: Rest (20 minutes), Exercise (10 minutes)

  2. Change in Stroke Volume with Exercise

    The change in single ventricular stroke volume from rest to moderate intensity exercise without compression garments during baseline testing

    Time frame: Rest (20 minutes), Exercise (10 minutes)

  3. Change in Stroke Volume with Exercise

    The change in single ventricular stroke volume from rest to moderate intensity exercise following 2 weeks of wearing compression garments.

    Time frame: Rest (20 minutes), Exercise (10 minutes) at 2-weeks follow-up testing

  4. The Acute Effect of Compression Garments on Stroke Volume during Exercise

    The difference in the change in single ventricular stroke volume during moderate intensity exercise between baseline testing with (outcome #1) and without (outcome #2) garments

    Time frame: Rest (20 minutes) and Exercise (10 minutes) repeated during baseline testing

  5. The Chronic Effect of Compression Garments on Stroke Volume during exercise

    The difference in the change in single ventricular stroke volume during moderate intensity exercise between baseline testing without garments (outcome #2) and following 2 weeks of wearing compression garments (outcome #3) in patients with Fontan Circulation.

    Time frame: Rest (20 minutes) and Exercise (10 minutes) completed during baseline and during follow-up testing

Secondary outcomes

  1. Change in Venous Return with Exercise

    The change in inferior vena cava flow from rest to moderate intensity exercise with compression garments using MRI during baseline testing

    Time frame: Rest (10 minutes) and Exercise (5 minutes)

  2. Change in Venous Return with Exercise

    The change in inferior vena cava flow from rest to moderate intensity exercise without compression garments using MRI during baseline testing

    Time frame: Rest (10 minutes) and Exercise (5 minutes)

  3. Change in Venous Return with Exercise

    The change in inferior vena cava flow from rest to moderate intensity exercise following 2 weeks of wearing compression garments using MRI

    Time frame: Rest (10 minutes) and Exercise (5 minutes)

  4. The Acute Effect of Compression Garments on Changes in Venous Return with Exercise

    The difference in the change in inferior vena cava flow during moderate intensity exercise between baseline testing with (outcome #6) and without (outcome #7) garments

    Time frame: Rest (10 minutes) and Exercise (5 minutes) repeated during baseline testing

  5. The Chronic Effect of Compression Garments on Changes in Venous Return with Exercise

    The difference in the change in inferior vena cava flow during moderate intensity exercise between baseline testing without garments (outcome #7) and following 2 weeks of wearing compression garments (outcome #8) in patients with Fontan Circulation.

    Time frame: Rest (10 minutes) and Exercise (5 minutes) completed during baseline and during follow-up testing

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07220226
Responsible party
Keri Shafer (Associate Professor of Medicine, University of Texas Southwestern Medical Center) — Principal investigator
First posted
Oct 23, 2025
Start date
May 10, 2026
Primary completion
Nov 1, 2027 (estimated)
Completion
Nov 1, 2027 (estimated)
Last update
Jul 30, 2026

Study contacts

Keri Shafer, MD
Contact
keri.shafer@utsouthwestern.edu
2146451165
Denis J Wakeham, PhD
Contact
denis.wakeham@utsouthwestern.edu
2146451165
Keri Shafer, MD
principal investigator · University of Texas Southwestern Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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